05D2263042 CLIA NUMBER - ROLLING HILLS CLINIC

Laboratory Demographics

  • CLIA Code: 05D2263042
  • Facility Name: ROLLING HILLS CLINIC
  • Facility Address: 706 PEACH ST
    CORNING, CA
    ZIP 96021
  • Facility Phone: 530 690-2827
  • Facility Type: Other - TRIBAL HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: LEE SHOOP
  • NPI Number: 1679988950
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2263042
LAB Type Other - TRIBAL HEALTH CLINIC
Facility Name ROLLING HILLS CLINIC
Street 706 PEACH ST
City CORNING
State CA
ZIP 96021
Phone 530 690-2827
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Other - TRIBAL HEALTH CLINIC
Lab Director LEE SHOOP

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This page was last updated on: 9/29/2025